Læknablaðið - 15.11.1983, Síða 31

LÆKNABLADID
293
tveimur að pví er varðar fjölda rekkjunauta.
Um 31 % þeirra, sem sýktir voru af lekanda
gáfu upp fleiri en einn rekkjunaut en aðeins
16% peirra sem aðeins ræktaðist C. tracho-
matis frá (Chi-square: p > 0,025).
Mun fleiri klamydiasýkingar greindust hluta
ársins en hinn fyrri. Greiningarnar voru fæstar
tvo fyrstu mánuðina og má vera að ástæðan sé
sú að rannsóknin var nýhafin og hafði ekki
náð til annarrar og þriðju »kynslóðar« kyn-
sambanda fyrstu sjúklinganna. Ef petta er rétt
er tíðni sjúkdómsins enn meiri en heildartalan
fyrir árið gefur til kynna.
Veruleg ástæða er til pess að leggja áherslu
á leit að smitberum. Af peim 315 sjúklingum
(tafla III), sem komu vegna beiðni reyndust
145 haldnir kynsjúkdómi og voru a.m.k. 49 eða
þriðjungur þeirra algjörlega einkennalaus.
Ennfremur höfðu nokkrir hinna svo væg
einkenni, að sennilegt er að þeir hefðu ekki
leitað læknis vegna peirra.
Höfundar vilja pakka ritara og hjúkrunarkonum Húð- og
kynsjúkdómadeildar Heilsuverndarstöðvar Reykjavíkur og
starfsfólki tölvudeildar Ríkisspítalanna fyrir veitta aðstoð
við skráningu og úrvinnslu gagna.
SUMMARY
Eleven hundred and fifty one individuals were
examined for gonorrhoea and chlamydial infections
in the STD clinic in Reykjavik, Iceland, during the
twelve months of 1982. Of 788 males, 254 or 32.2 %
were found to be infected with C. trachomatis. 166
or 21 % were infected with N. gonorrhoeae and 58
or 7 % harboured both organisms. Of the 363
females, 93 or 25.6 % were found to be infected with
C. trachomatis, 73 or 20 °/o were infected with N.
gonorrhoeae and 31 or 8.8 % were infected with
both organisms. The age distribution was the same
for both diseases, the prevalence being highest
among females 19 and 20 and males 21 and 22 years
of age. Of the 196 males that had C. trachomatis as
the sole pathogen, only 128 or 65 % had symptoms
of urethritis. Eighty nine % of the male patients
with gonorrhoea on the other hand had symptoms
of urethritis. Of the 425 males that no pathogen was
cultured from, 207 or 49 % had symptoms of
urethritis. Three hundred and fifteen individuals
came as a result of contact tracing and 46 % of
those were infected with one or both pathogens.
One hundred and twelve or 36 % had chlamydial
infections and 65 or 21 % had gonorrhoea.
The authors would like to express their gratitude to Dr.
Jens H. Scheibel and his staff at The Institute for Medical
Microbiology, University of Copenhagen, for their invalu-
able assistance in instituting the culture system for C.
trachomatis.
HEIMILDIR
1) Schachter J. Chlamydial infections. N Engl J
Med 1978; 298; 428-35, 490-5, 540-9.
2) Mardh P-A, Möller BR, Paavonen J. Chlamydial
infection of the female genital tract with
emphasis on pelvic inflammatory disease. A
review of Scandinavian studies. Sex Transm Dis
1981; 8: 140-55.
3) Thelin I, Wennström A-M, Mardh P-A. Con-
tract tracing in patients with genital chlamydial
infection. Br J Vener Dis 1980; 56: 259-62.
4) Möller BR, Þorsteinsson SB, Þórarinsson H,
Kolbeinsson A. Chlamydia trachomatis. Ein-
kenni chlamydiasýkinga hjá mönnum. Lækna-
blaðið 1982;68:203-7.
5) Morello JA, Bohnhoff M. Neisseria ánd Branha-
mella, í: Lennette EH, Balows A, Hausler JW jr.,
Truant JP, eds. Manual of Clinical Microbiology,
3. útg. 1980. American Society for Microbiology,
Washington, D.C.
6) Scheibel JH, Kristensen JK, Mordhorst C-H.
Chlamydia trachomatis ved gonoroisk og non-
gonoroisk uretrit. Ugeskr Læger 1980; 142: 879-
81.
7) Heilbrigðisskýrslur 1978-79. Landlæknisembætt-
ið, Reykjavík, 1981.
8) Hansson H, Danielsson D. Epidemiology of
sexually transmitted diseases in the Scandina-
vian countries. Scand J Infect Dis Suppl 1982;
32: 149-56.
9) Weström L, Svensson L, Wölner-Hansen P,
Mardh P-A. Chlamydial and gonococcal infec-
tions in a defined population of women. Scand J
Infect Dis Suppl 1982; 32: 157-62.
10) Thelin I, Mardh P-A. Contact tracing in genital
chlamydial infections. Scand J Infect Dis Suppl
1982; 32: 163-6.
11) Wallin J. Sexually transmitted diseases. The
present situation in Sweden. Br J Vener Dis
1978; 54: 24-7.